TMRO Mud Racing Registration Form

Class Pro Stock - $60 Registration Fee Modified - $85 Registration Fee Open Class - $100 Registration Fee Name

Address City ST Zip

Phone

By my signatures, I hereby, for myself, my heirs, and administrators, waive and forever discharge Tennessee Mud Racing Organization, Hoot 'N Holler Farm and their officials from any and all claims and damages/injuries incurred in connection with this event. I further agree to all rules and regulations.

Signature

(Please enter the following information so we may promote your vehicle and sponsors.)

Type of Vehicle Type of Engine

Name of Vehicle Owner's Name

Sponsor's